We aimed to analyze atrial function by two-dimensional (2DSTE) and three-dimensional (3DSTE) speckle-tracking echocardiography in patients with atrial septal devices and paroxysmal atrial fibrillation (PAF). One hundred sixteen patients and a subgroup of 22 patients who developed PAF after device insertion were studied. Left (LA) and right atrial (RA) peak longitudinal strain (PS) and standard deviations(SDs) of times to peak strain (TPS) were calculated using 2DSTE. LA-RA emptying fraction (EF) and expansion index (EI) were determined using 3DSTE. By multivariate analysis, pre-closure 3D-RA-EI, LA-TPS, and 3D-LA-EI were independently associated with PAF. ROC analysis showed better diagnostic accuracy of the combination of pre-closure TPS and 3D-EI for detecting PAF than the other indices. Patients with atrial septal devices have pre-existent left and right atrial dilatation and dysfunction as assessed by 2DSTE and 3DSTE that appear sensitive for the stratification of PAF risk in this population.

Biatrial function before and after percutaneous closure of atrial septum in patients with and without paroxysmal atrial fibrillation. a two-dimensional and three-dimensional speckle tracking echocardiographic study / Vitarelli, Antonino; Gaudio, Carlo; Mangieri, Enrico; Capotosto, Lidia; Tanzilli, Gaetano; Ricci, Serafino; Viceconte, GIUSEPPE NICOLA; Placanica, Attilio; Placanica, Giuseppe; Ashurov, Rasul. - In: ULTRASOUND IN MEDICINE AND BIOLOGY. - ISSN 0301-5629. - STAMPA. - 44:6(2018), pp. 1198-1211. [10.1016/j.ultrasmedbio.2018.02.015]

Biatrial function before and after percutaneous closure of atrial septum in patients with and without paroxysmal atrial fibrillation. a two-dimensional and three-dimensional speckle tracking echocardiographic study

Antonio Vitarelli
;
Carlo Gaudio;Enrico Mangieri;Lidia Capotosto;Gaetano Tanzilli;Serafino Ricci;Nicola Viceconte;Attilio Placanica;
2018

Abstract

We aimed to analyze atrial function by two-dimensional (2DSTE) and three-dimensional (3DSTE) speckle-tracking echocardiography in patients with atrial septal devices and paroxysmal atrial fibrillation (PAF). One hundred sixteen patients and a subgroup of 22 patients who developed PAF after device insertion were studied. Left (LA) and right atrial (RA) peak longitudinal strain (PS) and standard deviations(SDs) of times to peak strain (TPS) were calculated using 2DSTE. LA-RA emptying fraction (EF) and expansion index (EI) were determined using 3DSTE. By multivariate analysis, pre-closure 3D-RA-EI, LA-TPS, and 3D-LA-EI were independently associated with PAF. ROC analysis showed better diagnostic accuracy of the combination of pre-closure TPS and 3D-EI for detecting PAF than the other indices. Patients with atrial septal devices have pre-existent left and right atrial dilatation and dysfunction as assessed by 2DSTE and 3DSTE that appear sensitive for the stratification of PAF risk in this population.
patent foramen ovale; atrial septal defect; echocardiography; speckle tracking echocardiography; left atrial function; right atrial function
01 Pubblicazione su rivista::01a Articolo in rivista
Biatrial function before and after percutaneous closure of atrial septum in patients with and without paroxysmal atrial fibrillation. a two-dimensional and three-dimensional speckle tracking echocardiographic study / Vitarelli, Antonino; Gaudio, Carlo; Mangieri, Enrico; Capotosto, Lidia; Tanzilli, Gaetano; Ricci, Serafino; Viceconte, GIUSEPPE NICOLA; Placanica, Attilio; Placanica, Giuseppe; Ashurov, Rasul. - In: ULTRASOUND IN MEDICINE AND BIOLOGY. - ISSN 0301-5629. - STAMPA. - 44:6(2018), pp. 1198-1211. [10.1016/j.ultrasmedbio.2018.02.015]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1081420
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